Table 1.
—List of Included Studies and Key Features
Study/Year | Trainee No., Levela | Study Designb | Comparisonc | Taskd | Modalitye | Instructional Featuresf | Outcomes Reportedg | Follow-uph | Outcome Blindi | Outcome Objectivej | MERSQI Totalk | NOS Totall |
Colt21/2001 | 5; PG | 1PP | NI | Flex | VR | CV,DP | ST,SP | High | Blind | Obj | 11 | 2 |
Ost22/2001 | 6; PG | RCT | OE | Flex | VR | CV,DP,FB,R | BT,BP | High | Blind | Obj | 13 | 4 |
Hilmi23/2002 | 20; PG | 1PP | NI | Rigid | Animal | M | ST,SP | … | … | Obj | 10 | 0 |
Ameur24/2003 | 20; MS | 2NR | SS | Flex | VR | … | R,SP | … | Blind | Obj | 10.5 | 1 |
Moorthy25/2003 | 9; O | 1PP | NI | Flex | VR | … | ST,SP | … | Blind | Obj | 11 | 1 |
Blum26/2004 | 10; PG | RCT | NI | Flex | VR | CV | BT,BP | High | Blind | Obj | 13 | 4 |
Martin27/2004 | 43; PG,MD,O | RCT | SS | Flex | Model | DP | ST,SP | High | Blind | Obj | 14.5 | 5 |
Agrò28/2005 | 5; PG | 1PP | NI | Flex | Model | M | ST,SP | … | … | Obj | 9 | 0 |
Chen29/2006 | 20; O | RCT | OE | Flex | VR | CV | R | High | … | Subj | 10 | 3 |
Deutsch30/2009 | 36; PG | 2NR | SS | Flex, Peds | VR, Mannequin, Animal | … | SP | … | … | Subj | 9.5 | 1 |
Bian31/2010 | 40; PG | RCT | NI | Flex | Model | … | ST | High | Blind | Obj | 12.5 | 4 |
Davoudi32/2010 | 48; MD | RCT | SS | Flex, TBNA | VR, Model | … | R | High | … | Subj | 9 | 3 |
Wahidi33/2010 | 47; PG | 2NR | NI | Flex | VR | DP,R | K,BP | High | … | Obj | 16 | 2 |
Colt34/2011 | 42; PG | 1PP | NI | Flex | Model | … | K,SP | High | Blind | Obj | 13 | 3 |
Jabbour35/2011 | 17; PG | 1PP | NI | Flex, Rigid, Peds | VR, Model, Mannequin | … | ST,SP | High | Blind | Obj | 10 | 2 |
Stather36/2011 | 13; PG | 2NR | OE | Flex, US | VR | CV,DP,R | ST,SP | High | Blind | Obj | 10.5 | 3 |
Stather37/2012 | 8; PG | 2NR | OE | Flex, US, TBNA | VR | CV,DP,R | BT,BP,P | High | … | Obj | 12 | 2 |
MD = practicing physician; MS = medical student; O = other health professional; PG = postgraduate physician trainee (resident).
1PP = 1 group pre-post study; 2NR = nonrandomized 2-group study; RCT = randomized 2-group study.
NI = no intervention; OE = other (nonsimulation) education; SS = simulation-simulation comparison.
Flex = flexible bronchoscopy; Peds = pediatric patients; Rigid = rigid bronchoscopy; TBNA = transbronchial needle aspiration; US = endobronchial ultrasound.
VR = virtual reality.
CV = clinical variation present; DP = distributed practice (over > 1 d); FB = feedback high; M = mastery learning model present; R = many repetitions present.
BP = process behavior; BT = time behavior; K = knowledge; P = patient effects; R = reaction (satisfaction); SP = process skill; ST = time skill.
High = ≥75% follow-up for any outcome.
Blinded assessment of highest-level outcome.
Obj = objective assessment; Subj = self-report of highest-level outcome.
MERSQI = Medical Education Research Study Quality Instrument (maximum score 18).
NOS = modified Newcastle-Ottawa scale (maximum score 6).